NPI | 1497192116 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE LYNN BERTELLE Owner 786-514-9493 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 3527) |
Enumeration Date | 2013-06-04 |
Last Update Date | 2013-06-04 |